This is a combination toy that makes sounds when rolled. The rabbit makes a sound and sticks out its tongue when pressed. When my child was crying, they would stop crying when I made the "pip-pip" sound with it. Since it was used by a child, there is some dirt. The stethoscope makes a "pipipi" sound when the button is pressed, and it makes three different sounds. Playing doctor is fun. As a bonus, I'll include another sound-making toy. Shipping costs will likely be incurred, but it's included in the price, so please understand that this is a used item before purchasing. m(_ _)m